MEDICARE: CAVELLE WILLIAMS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103K00000X	Behavior Analyst

General Provider Information

NPI Number	:	1114764180
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAVELLE WILLIAMS

Provider Business Mailing Address
First Line	:	27 S 35TH ST
Second Line	:
City	:	WYANDANCH
State	:	NY
Zip	:	11798-2604
Country	:	US
Telephone Number	:	646-899-7405
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 S 35TH ST
Second Line	:
City	:	WYANDANCH
State	:	NY
Zip	:	11798-2604
Country	:	US
Telephone Number	:	646-899-7405
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2024
Last Update Date	:	07/09/2024

Similar Medicare Providers

1417807512 — AHNIYAH BOYD
Practice Location Address:

27 S 35TH ST
WYANDANCH, NY
11798-2604

Practice Phone: 631-336-4615
Practice Fax:

1194674622 — BREONA PETTEWAY SUPPORT SERVICES INCORPORATED
Practice Location Address:

18 LAKE DR
WYANDANCH, NY
11798-3430

Practice Phone: 934-256-2441
Practice Fax: 934-256-2441

1265390116 — KENMAR BUNWARRIE
Practice Location Address:

162 DAVIDSON ST
WYANDANCH, NY
11798-4419

Practice Phone: 929-607-9735
Practice Fax:

1013550458 — ASRIEL KING
Practice Location Address:

240A LONG ISLAND AVE
WYANDANCH, NY
11798-3123

Practice Phone: 631-782-6200
Practice Fax:

1508827080 — DR. BELINDA AGHARESE MARQUIS MD
Practice Location Address:

1543 STRAIGHT PATH
WYANDANCH, NY
11798-3415

Practice Phone: 631-643-6006
Practice Fax: 631-643-7026

1275571192 — WYANDANCH PHARMACY INC
Practice Location Address:

323 MERRITT AVE
WYANDANCH, NY
11798-2328

Practice Phone: 631-253-4552
Practice Fax: 631-253-4557

Directions to “ CAVELLE WILLIAMS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.